Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,466.84 / $11,481.54	Facility		$1,202.26	$4,466.84	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $4,365.16	Professional		$1,348.96	$2,137.96	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $18,620.87 / $22,387.21	Facility		$16,595.87	$18,620.87	$22,387.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $5,128.61	Professional		$2,454.71	$2,454.71	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $2,511.89	Professional		$120.23	$199.53	$2,511.89
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,511.89	Professional		$1,513.56	$1,513.56	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,244.36 / $16,982.44	Facility		$2,089.30	$7,244.36	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $4,570.88	Professional		$1,318.26	$2,344.23	$4,570.88